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Individual

VERNI LOGENDRAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
DO

Contact information

Practice address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 813-2000
Mailing address
19500 SE STARK ST, PORTLAND, OR 97233-5757
(503) 813-2000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
DO183356
OR
390200000X
Student in an Organized Health Care Education/Training Program
PG172690
OR

Other

Enumeration date
05/22/2015
Last updated
10/26/2020
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